10
Accepted
Between 2010 and 2019 the NHS saw an average annual growth in emergency admissions of...
Conclusion
Between 2010 and 2019 the NHS saw an average annual growth in emergency admissions of more than 3% and in urgent cancer referrals from GPs of more than 10%. Although there was relatively strong growth in the number of consultants (over 3% per year) during that period, there was almost no change in nurse numbers and a reduction of 1.1% per year in the number of general and acute beds available for overnight use.23 We examined the additional capacity the NHS would require to deliver reductions in waiting lists. NHSE&I told us that additional health workers were needed across the NHS and in multiple roles. It explained that a medium-term approach was needed as time was required to recruit and train people and to get them paired with up-to-date diagnostic and other infrastructure, and that it would be two to three years before there was any material increase in NHS capacity. This increase of capacity is a prerequisite for reducing waiting lists.24
Government Response Summary
The government agrees with the committee's observation regarding capacity needs, stating it is already addressing this through the NHS England mandate and the Elective Recovery Plan, which include targets for reducing elective care waits and improving cancer diagnosis times.
Government Response
Accepted
Government Response
Accepted
HM Government
Accepted
1.1 The government agrees with the Committee’s recommendation. Target implementation date: Spring 2023 1.2 The mandate to NHS England sets out the strategic goals that the government has set for NHS England in the year ahead. The 2022-23 mandate was published on 31 March 2022. It includes objectives on recovery of wider NHS services impacted by the pandemic, and on further delivery of the NHS Long Term Plan and related wider government commitments. Further information on the performance indicators is set out in the department’s accompanying letter. 1.3 The objective on recovery reinforces the targets set for recovery of elective and cancer waiting times standards in the NHS Delivery Plan for tackling the COVID-19 backlog of elective care (the ‘Elective Recovery Plan’) (see also the response to recommendation 2). This includes ensuring that no one (aside from a small number of specific specialties or due to patient choice) waits longer than two years for elective care by July 2022, and that by March 2024 75% of patients urgently referred by their GP for suspected cancer are diagnosed or have cancer ruled out within 28 days. 1.4 The Secretary of State will keep NHS England’s progress against the overall mandate under review throughout the year and will lay in Parliament and publish an assessment of NHS England’s performance in 2022-23, including in respect of the mandate, after the end of the financial year.
Source
Committee
Public Accounts Committee
Inquiry
NHS Backlogs and waiting times
Report
Forty-Fourth Report - NHS backlogs and waiting times in England
16 Mar 2022
HC 747
Addressee Bodies
HM Treasury
Timeline
Recommendation age
4.4 yrs
Report published
16 Mar 2022